Matching Items (92)
Description
Most studies on refugee populations tend to focus on mental health issues and communicable diseases. Yet, reproductive health remains a major aspect of refugee women's health needs. African refugee women in the United States continue to experience some difficulties in accessing reproductive health services despite having health insurance coverage. The purpose of this study was to understand the reproductive health journey of African refugee women resettled in Phoenix, Arizona. This study also explored how African refugee women's pre-migration and post-migration experiences affect their relationships with health care providers. The study was qualitative consisting of field observations at the Refugee Women's Health Clinic (RWHC) in Phoenix, verbally administered demographic questionnaires, and semi-structured one-on-one interviews with twenty African refugee women (between the ages of 18 and 55) and ten health care providers. The findings were divided into three major categories: pre-migration and post migration experiences, reproductive health experiences, and perspectives of health care providers. The themes that emerged from these categories include social isolation, living between two cultures, racial and religious discrimination, language/interpretation issues and lack of continuity of care. Postcolonial feminism, intersectionality, and human rights provided the theoretical frameworks that helped me to analyze the data that emerged from the interviews, questionnaire and fieldnotes. The findings revealed some contrasts from the refugee women's accounts and the accounts of health care providers. While refugee women spoke from their own specific social location leading to more nuanced perspectives, health care providers were more uniform in their responses leading to a rethink of the concept of cultural competency. As I argue in the dissertation and contrary to conventional wisdom, culture per se does not necessarily translate to resistance to the American health care system for many African refugee women. Rather, their utilization (or lack thereof) of health services are better conceived within a broader and complex context that recognizes intersectional factors such as gender, racialization, language, displacement, and class which have a huge impact on the reproductive health seeking patterns of refugee women.
ContributorsJatau, Mary (Author) / Koblitz, Ann Hibner (Thesis advisor) / James, Stanlie (Committee member) / Robillard, Alyssa (Committee member) / Johnson, Crista (Committee member) / Arizona State University (Publisher)
Created2011
Description
HIV/AIDS is the sixth leading cause of death worldwide and the leading cause of death among women of reproductive age living in low-income countries. Clinicians in industrialized nations monitor the efficacy of antiretroviral drugs and HIV disease progression with the HIV-1 viral load assay, which measures the copy number of HIV-1 RNA in blood. However, viral load assays are not widely available in sub-Saharan Africa and cost between 50-$139 USD per test on average where available. To address this problem, a mixed-methods approach was undertaken to design a novel and inexpensive viral load diagnostic for HIV-1 and to evaluate barriers to its adoption in a developing country. The assay was produced based on loop-mediated isothermal amplification (LAMP). Blood samples from twenty-one individuals were spiked with varying concentrations of HIV-1 RNA to evaluate the sensitivity and specificity of LAMP. Under isothermal conditions, LAMP was performed with an initial reverse-transcription step (RT-LAMP) and primers designed for HIV-1 subtype C. Each reaction generated up to a few billion copies of target DNA within an hour. Presence of target was detected through naked-eye observation of a fluorescent indicator and verified by DNA gel electrophoresis and real-time fluorescence. The assay successfully detected the presence of HIV in samples with a broad range of HIV RNA concentration, from over 120,000 copies/reaction to 120 copies/reaction. In order to better understand barriers to adoption of LAMP in developing countries, a feasibility study was undertaken in Tanzania, a low-income country facing significant problems in healthcare. Medical professionals in Northern Tanzania were surveyed for feedback regarding perspectives of current HIV assays, patient treatment strategies, availability of treatment, treatment priorities, HIV transmission, and barriers to adoption of the HIV-1 LAMP assay. The majority of medical providers surveyed indicated that the proposed LAMP assay is too expensive for their patient populations. Significant gender differences were observed in response to some survey questions. Female medical providers were more likely to cite stigma as a source problem of the HIV epidemic than male medical providers while males were more likely to cite lack of education as a source problem than female medical providers.
ContributorsSalamone, Damien Thomas (Author) / Jacobs, Bertram L (Thesis advisor) / Marsiglia, Flavio (Committee member) / Stout, Valerie (Committee member) / Johnson, Crista (Committee member) / Arizona State University (Publisher)
Created2011
Description
Communication skills within dating contexts are developed during the adolescent years, and are associated with a lifelong ability to have satisfying, enduring, and non-violent partnerships. As such, they are currently and increasingly implemented into both more general forms of healthy relationship education, as well as that targeting the prevention of teen dating violence specifically. Reaching Mexican American youth with culturally and developmentally appropriate relationship education, including communication skills, may be particularly important given their earlier transitions to marital and parenting relationships, acculturative stressors that present them with unique coupling challenges, and their higher rates of teen dating violence as compared to European American youth. We know very little about how Mexican American dating couples communicate about areas of conflict. This dissertation research utilizes Bell and Naugle's (2008) framework of interpersonal violence to explore how cultural and developmental considerations may be integrated in order to better understand how communication behaviors contribute to Mexican American middle adolescents' experiences with dating conflict. I use an observational study design in order to 1.) Qualitatively explore the communication strategies used by a sample of committed couples, including integration of culturally- and developmentally-relevant contexts, 2.) Quantitatively examine whether couple-level discrepancies in acculturation are associated with observed negativity, including whether this relationship may be mediated by dissimilar gender-related beliefs, and to 3.) Review empirical findings pertaining to the communication behaviors of Mexican American adolescents and to integrate ecodevelopmental theory in said framework as informed by Papers 1, 2, and literature specific to this topic area. The ultimate aim of this dissertation research is to generate findings that may improve the dating health of Mexican American adolescents living in the United States.
ContributorsAdams, Heidi (Author) / Rankin Williams, Lela (Thesis advisor) / Marsiglia, Flavio (Committee member) / Anthony, Elizabeth (Committee member) / Arizona State University (Publisher)
Created2013
Description
Although it has been established that children raised by lesbian and gay (LG) parents are comparable in psychological adjustment to those raised by heterosexuals, there are unique stressors that these families must face as members of a social minority group. For example, chronic exposure to stigma and discrimination has been associated with several poor psychological and behavioral outcomes in children, as well as high levels of stress experienced by LG parents. Thus, the current study sought to examine LG parents' coping actions and parenting strategies as used during and after an act of antigay discrimination which also involved their children, or as these involved an act which their children witnessed. This study also sought to define the parenting needs of LG parents. The research plan utilized an integrative mixed methods approach to examine the qualitative text narratives of 43 LG parents (29 mothers and 14 fathers) ranging in age from 28-56 years old with school-aged children (6-12 years). Results revealed that LG parents' negative emotion-based coping actions predicted higher depressive symptoms (β= .41,t(33) = 3.17, p < .01), LG parents' avoidant/escape coping actions predicted lower parenting self-agency (β = -.34, t(33) = -2.23, p < .05), and LG parents' engagement in understanding and coping with discrimination parenting strategies predicted lower post-traumatic stress problems in their children (β = -.33, t(33) = -1.96, yp = .059). Last, a family needs assessment survey was used to determine the unique parenting needs of these LG parents. The results of this survey indicated that LG parents endorsed the following three topic areas as most important to them: (a) LG Family Community Services, (b) Information about Child Development, and (c) Explaining LG Family to Others. These findings reinforce existing knowledge in terms of the effects of discrimination on LG parents and their children. Indeed, results indicate the importance of providing LG parents with adaptive discrimination coping and parenting strategies, as well as offering valuable information concerning their specific needs.
ContributorsKellison, Joshua G (Author) / Gonzalez Castro, Felipe (Thesis advisor) / Crnic, Keith (Thesis advisor) / Barrera, Jr., Manuel (Committee member) / Marsiglia, Flavio (Committee member) / Wolchik, Sharlene (Committee member) / Arizona State University (Publisher)
Created2014
Description
ABSTRACT The relationships between adaptive and maladaptive aspects of gender roles in predicting substance use were examined in a sample of 955 (450 boys, 505 girls) Mexican American 7th and 8th grade adolescents participating in a school-based substance use intervention. The moderating effect of linguistic acculturation, the mediating effects of antisociality, depressive symptoms, and adaptive and avoidant coping on gender role-substance use relationships were examined. Correlational and path analyses supported the Functional Model of Gender Roles that considers these roles as adaptive or maladaptive social coping strategies. For boys, the path analyses yielded significant direct paths from aggressive masculinity to composite alcohol, cigarette, and marijuana use measures, with all other effects of gender roles on substance use operating through the mediators. Bootstrapped mediation tests yielded significant indirect paths, where for boys the positive relationships between assertive and aggressive masculinity with substance use and the negative relationship of affective femininity with substance use were mediated through antisociality, which is predictive of increased substance use. For girls, the positive relationship between aggressive masculinity with cigarette and alcohol use and the negative relationship of affective femininity with alcohol and cigarette use were also mediated by adaptive coping, which is predictive of decreased substance use. A different set of significant indirect paths through avoidant coping connected assertive masculinity and submissive femininity to alcohol use for boys. For boys, the paths from affective femininity to antisociality and adaptive coping were found to be moderated by linguistic acculturation, with the negative correlation of affective femininity with antisociality and positive correlation of this gender role with adaptive coping being stronger in boys low in acculturation. In turn, the pathway from this acculturation by affective femininity interaction to substance use was found to be mediated by antisociality. The present analyses confirmed the importance of gender roles and their interaction with acculturation in predicting substance use in Mexican American adolescents. The analyses also were important in delineating functional mechanisms through which these gender roles have their effects, with implications for the design of interventions to reduce substance use in this population.
ContributorsNagoshi, Julieann Lynn (Author) / Kulis, Stephen (Thesis advisor) / Marsiglia, Flavio (Committee member) / Gillmore, Mary (Committee member) / Arizona State University (Publisher)
Created2012
Description
Late life domestic violence is essentially synonymous with domestic violence except that it specifically refers to older adults. Although there are many similarities between younger victims and older victims, there are also distinct differences. Older victims have unique risk factors and barriers, including generational factors that stem from socialization. Unfortunately, society lacks awareness of late life domestic violence. This is reflected in current state statutes as well as the limited services provided to victims of domestic violence. For example, there are currently elder abuse or dependent abuse adult statutes in every state, yet there is no statute that specifically addresses late life domestic violence. When it comes to services, many programs are geared toward younger victims and staff is typically not trained to work with older victims, so older victims often do not get the resources they need. Yet about 1 in 10 women over the age of 50 experience abuse by an intimate partner. This is a prevalent issue needing more attention. To bring awareness and educate people on this topic, a user friendly website was created that will provide information on late life domestic violence, resources for victims, and ways to share the information with others. The website provides information that will educate people on this issue, and also promotes advocacy for older victims.
ContributorsGarcia, Brittany Nicole (Author) / Bonifas, Robin (Thesis director) / Dodge, Nancie (Committee member) / Barrett, The Honors College (Contributor) / School of Social Work (Contributor)
Created2015-05
Description
Homelessness has grown throughout America, rendering the former stereotypes about the homeless largely inaccurate and invalid. In addition to this, poverty has grown despite the country's wealth. As such, social services have become increasingly relevant to the lives of more and more Americans. Rather than serve as punishment and reminders of one's own personal failures, these services need to empower their clients. This is most likely to be done from a place of solidarity, a horizontal orientation that recognizes that economic positions are subject to change and that instead favors human rights and unity. From this review of the literature, I argue that service groups with an ethic of solidarity or a horizontal orientation honor the dignity of the clients, something that is more likely to inspire positive changes. In addition, I will use the case study of the non-hierarchical service organization Food Not Bombs to demonstrate the importance of respecting the dignity and inherent rights of the clients.
ContributorsPagan, Stephen Marcus (Author) / Keahey, Jennifer (Thesis director) / Cronin, Travis (Committee member) / School of Social and Behavioral Sciences (Contributor) / School of Social Work (Contributor) / Barrett, The Honors College (Contributor)
Created2015-12
Description
Sex trafficking is a problem in Arizona that affects both minors and adults. There are hundreds of people who have the desire to counter trafficking in Arizona, and out of that desire numerous organizations have been created. While this can be beneficial to the cause, it can also become a hindrance by diluting resources and creating an atmosphere of competitiveness between organizations. The Inter-Faith Sex Trafficking Summit was an attempt to build unity and community between these organizations and to raise awareness of existing groups to those who are newly involved. Attendees represented over 108 different agencies, organizations, and faiths. Throughout the day, speakers shared their experiences and expertise on the results of collaborative efforts to promote change in community awareness, legislation, and service provision. Themes emerged including \u2014 1) no one can do this alone; we are stronger together, 2) regardless of our affiliation or theology we are on the same team and need to work as a team, and 3) the bad guys are strategic; we have to be strategic, too. Since the summit was held, numerous individuals have set up meetings to continue to discuss how they can work together. An attendee directory has been circulated, and a blog, Inter-faith Strategy to Stop Trafficking has been created to enhance connectivity. An exit survey reveals that the majority of attendees are interested in pursuing more opportunity for connecting and building a stronger alliance as well as discovering ways to become more strategic.
ContributorsWarren, Angela Mae (Author) / Roe-Sepowitz, Dominique (Thesis director) / Galliano, Grace (Committee member) / Wood, Nicole (Committee member) / Barrett, The Honors College (Contributor) / School of Social Work (Contributor)
Created2013-12
Description
This study was conducted to look at the possible effects of art intervention on anxiety levels of homeless young adults in a local drop-in shelter. While there is a fair amount of literature on art intervention and its applicability with vulnerable populations, its specific effect on anxiety has not been extensively examined. Researchers conducted two art interventions where state-trait anxiety (STAI Inventory) was measured before and after the interventions. Researchers hypothesized that anxiety would decrease after the art sessions. Some significant results were found. Participants reported feeling less strained (p = .041), worrying less over possible misfortunes (p = .02), feeling less nervous (p = .007) and feeling more decisive (p = .001). Future research recommendations are discussed.
ContributorsWille, Emma Margaret (Author) / Roe-Sepowitz, Dominique (Thesis director) / Mendoza, Natasha (Committee member) / Agliano, Stefania (Committee member) / Barrett, The Honors College (Contributor) / School of International Letters and Cultures (Contributor) / School of Social Work (Contributor) / Department of Psychology (Contributor)
Created2014-05
Description
This paper introduces the causes and effects of domestic violence in a general sense, and further focuses on the specific consequences experienced by Latinos of traditional culture in regards to partner abuse. While it is unclear why rates of intimate partner violence are higher for Latinas, their cultural values associated with gender roles and spiritual beliefs are complicating factors that are further magnified by socioeconomic challenges many Latinas experience. This paper examines the interplay between Latino cultural values and intimate partner violence, and highlights the relevance of this knowledge to inform effective social work practice in the Latino community.
ContributorsBennett, Brittney Kay (Author) / Bonifas, Robin (Thesis director) / Parsai, Monica (Committee member) / Kennedy, Teri (Committee member) / Barrett, The Honors College (Contributor) / School of Criminology and Criminal Justice (Contributor) / School of Social Work (Contributor)
Created2013-05